Prevention and Treatment of Child Overweight and Obesity
Step 4: Get help if you need it

You may be able to address established feeding problems on your own, once you understand the Division of Responsibility  (sDOR) in feeding and set proper goals. Or you might be stuck and need help. Here is how to tell if you are stuck:

  • Your child’s growth veers upward or downward abruptly.
  • You worry a lot about your child’s eating or growth.
  • Your child continues to be upset and anxious about eating.
  • You and your child have prolonged or continuous struggles about his or her eating.
  • Feeding isn’t rewarding or pleasant for you and/or your child.

Cultivate your own feeding dynamics professional. Look for a professional who thoroughly understands sDOR or is willing to learn right along with you. Ideally, that person will have taken Ellyn Satter’s Feeding with Love and Good Sense Visions Workshop or passed the Child of Mine CEU exam. Such professionals bring their expertise, their commitment to sDOR, and their willingness to help you understand and parent your child. That’s a lot! Plot your child’s growth from birth, identify the timing and likely causes of your child’s seeming weight issues, make a feeding relationship plan, carry it out, and help each other to be consistent and brave. Remember, you are working toward having pleasant and harmonious meal- and snack- times and your child’s feeling good about eating, behaving well at mealtime, and eating in a relaxed fashion. See part 1.

Start with an assessment. An assessment is a systematic method of identifying causes. To trust your child’s eating and growth, you have to understand why you mistrust it. If your child has been diagnosed as overweight or obese or is gaining too much weight (that is, crossing weight percentiles) it is for one or more of the reasons listed in part 1. To understand what got (or continues to get) in the way of her natural eating competence, consider your child’s medical history and growth pattern from birth and your past and present feeding relationship.

Do Division of Responsibility-based intervention. Follow the recommendations in part 1 , in Your Child’s Weight: Helping without Harming, and in the Your Child’s Weight handout.


Join Ellyn Satter on Facebook

Sign up for the ESI mailing list

Say thanks for this great information by making a donation to ESI!

©2016 by Ellyn Satter published at You may reproduce this article if you don't charge for it or change it in any way and if you do include the for more about and copyright statements.